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Organization
GOOD SAMARITAN HOME HEALTH
Active
Organization
GOOD SAMARITAN HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUKATI L MILLER CNA (OWNER)
(803) 731-5366
Entity
Organization
Contact information
Practice address
1117 ROLLING PINES WAY, 7-A, COLUMBIA, SC 29210-4058
(803) 731-5366
Mailing address
PO BOX 210706, COLUMBIA, SC 29221-0706
(803) 731-5366
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
132716R
SC
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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